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1154386183
JEFFREY L CLARK
MCKINNEY, TX
NPI
1154386183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX AT0438)
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY L CLARK LAT, ATC, ret.
2414 W UNIVERSITY DR SUITE 110
MCKINNEY, TX 75071-2810
Phone number: 972-569-9050
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Mailing Address
Mr. JEFFREY L CLARK LAT, ATC, ret.
9917 LAKEVIEW DR
PROVIDENCE VILLAGE, TX 76227-5427
Phone number: 469-417-8280
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